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Matrion

Missouri rates for HCPCS Q4201

Matrion, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $155 · 10th–90th $78$7940%10%10th90th$155Professionalmedian $98 · 10th–90th $76$1550%20%10th90th$98$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$354.81
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$77.62
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$338.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$134.90